National Provider Identifier [NPI]: |
1730239617 |
Last Name Of The Provider |
KAMAYA |
First Name Of The Provider |
AYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 PASTEUR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
STANFORD |
Zip Code Of The Provider |
943052200 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
2467 |
Number Of Medicare Beneficiaries |
1605 |
Total Submitted Charge Amount |
583457 |
Total Medicare Allowed Amount |
121063.8 |
Total Medicare Payment Amount |
89237.87 |
Total Medicare Standardized Payment Amount |
80076.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2467 |
Number Of Medicare Beneficiaries With Medical Services |
1605 |
Total Medical Submitted Charge Amount |
583457 |
Total Medical Medicare Allowed Amount |
121063.8 |
Total Medical Medicare Payment Amount |
89237.87 |
Total Medical Medicare Standardized Payment Amount |
80076.7 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
319 |
Number Of Beneficiaries Age 65 to 74 |
667 |
Number Of Beneficiaries Age 75 to 84 |
407 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
811 |
Number Of Male Beneficiaries |
794 |
Number Of Non Hispanic White Beneficiaries |
951 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
284 |
Number Of Hispanic Beneficiaries |
213 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1092 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
513 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2202 |